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Care Coordination & Transitional Care Services


Our agency is leading the way in transitional care here in the North State. These services can be paid for by Medi-Cal, private insurance, long term care, or private pay (depending on eligibility). Please call for details.

California Community Transitions (CCT)

We are a Lead Organization for CCT, a state-run program that is federally funded through Money Follows the Person (MFP). This program helps low income adults (18 years of age and older) who are living in skilled nursing facilities transition back into community living (home, apartment, or residential care facility). Visit the state website for more information about this program here.


The goal of the program is to develop a person-centered care plan that promotes individual choice and successful self self-managed care. Our team of Transition Coordinators provide comprehensive care from the skilled nursing facility or hospital back home, and can even help clients find housing if they have no home to go back to. This program links individuals with a variety of Home & Community Based Services that support the individual on an ongoing basis.


Learn more about what this program can offer by reading our blog.


Housing and Health Partnerships

Home & Health Care Management is the first home care agency in the nation to provide Transitional Care Services for HUD Section 811 Supportive Housing for Persons with Disabilities. This program transitions low income adults out of skilled nursing facilities back into independent living. The Sacramento Bee covered this new and exciting program in May 2015, you can read the article here. For more information on how this program is funded and how our agency became involved, read our press release here.


October 2015 Update: This program is now in the process of being replicated throughout the Sacramento region. Our agency has been asked to provide supportive services for these new locations. More information will be posted as it becomes available.